America's Health Rankings
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SOUTH DAKOTA

Ranking:  South Dakota is 16th this year; it was 18th in 2006.

Strengths: Strengths include a low violent crime rate at 171 offenses per 100,000 population, a low incidence of infectious disease at 5.0 cases per 100,000 population, a high rate of high school graduation with 83.7 percent of incoming ninth graders who graduate within four years and few poor mental and physical health days per month at 2.4 days and 2.7 days, respectively, in the previous 30 days.

Challenges: Challenges include a high prevalence of binge drinking at 18.1 percent of the population, limited access to primary care with 106.3 primary care physicians per 100,000 population and a high occupational fatalities rate at 9.4 deaths per 100,000 workers. 

Significant Changes:

↓ In the past year, the percentage of children in poverty decreased from 16.0 percent to 13.4 percent of persons under age 18.

↑ In the past year, the occupational fatalities rate increased from 8.2 to 9.4 deaths per 100,000 workers.

↓ Since 1990, the incidence of infectious disease decreased from 18.0 to 5.0 cases per 100,000 population.

↑ Since 1990, the prevalence of obesity increased from 10.7 percent to 25.4 percent of the population.

Health Disparities: In South Dakota, blacks experience premature death at about the same rate as whites; however, Other Race experience 218 percent more premature death than whites.

State Health Department Web Site:     www.state.sd.us/doh/
           


 

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South Dakota                
  2007   2006   2000   1990  
DETERMINANTS - Personal Behaviors Value Rank Value Rank Value Rank Value Rank
Prevalence of Smoking (Percent of population) 20.3 26 19.8 14 22.5 23 28.6 16
Binge Drinking (Percent of population) 18.1 45 18* 46* 17.4* 37* --- ---
Prevalence of Obesity (Percent of population) 25.4 27 25.5 33 19.6 25 10.7 13
High School Graduation (Percent of incoming ninth graders) 83.7↑ 8 83 8 75.7* 15* 86.9* 1
DETERMINANTS - Community Environment                
Violent Crime (Offenses per 100,000 population) 171 5 179 5 154 6 120 1
Occupational Fatalities (Deaths per 100,000 workers) 9.4↑ 44 8.2 38 11 46 9.2* 25
Infectious Disease (Cases per 100,000 population) 5 4 4.2 2 8.3 2 18 10
Children in Poverty (Percent of persons under age 18) 13.4↓ 17 16 25 7.3 3 19.3 24
DETERMINANTS - Public & Health Policies                
Lack of Health Insurance (Percent without health insurance) 11.8 14 11.7 17 10.1 17 12.9 30
Per Capita Public Health Spending (Dollars per person) $110 37 $110 37 --- --- --- ---
Immunization Coverage (Percent of children ages 19 to 35 months) 82.2↓ 16 86.9 3 76.9 21 --- ---
DETERMINANTS - Clinical Care                
Adequacy of Prenatal Care (Percent of pregnant women) 75.4 28 75.4 28 75.1* 28* 65.3* 40*
Primary Care Physicians (Number per 100,000 population) 106.3 31 107.2 31 --- --- --- ---
Preventable Hospitalizations (Number per 1,000 Medicare enrollees) 76.1↑ 28 73.7 27 --- --- --- ---
All Determinants 6.9 15 5.4 18 4.7 19 3.3 22
                 
HEALTH OUTCOMES                
Poor Mental Health Days (Days in previous 30 days) 2.4 1 2.6 2 2.8 14 --- ---
Poor Physical Health Days (Days in previous 30 days) 2.7 1 3 3 3 13 --- ---
Infant Mortality (Deaths per 1,000 live births) 7.6 34 7.2 32 8.4 38 11.6 41
Cardiovascular Deaths (Deaths per 100,000 population) 288 16 296.4 16 332.2 16 381.7 17
Cancer Deaths (Deaths per 100,000 population) 194.5 16 195.5